Digital Asset Power of Attorney Revocation Form

1. Revoker (Principal) Information

Full Name Address Email

2. Agent (Attorney-in-Fact) Information

Full Name Address

3. Power of Attorney Description

Describe the Digital Asset Power of Attorney being revoked

4. Revocation Statement

I hereby revoke the above-referenced Digital Asset Power of Attorney, previously granted to the person named as Agent (Attorney-in-Fact) above. This revocation is effective immediately upon delivery to my Agent.

Signature of Revoker Date

Witness Name Witness Signature Date